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1265290803
TRACI E EVESON
PORTLAND, OR
NPI
1265290803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 17565)
Enumeration Date
2024-03-08
Last Update Date
2024-03-08
Business Address
TRACI E EVESON
5208 NE 122ND AVE
PORTLAND, OR 97230-1074
Phone number: 503-261-5535
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Mailing Address
TRACI E EVESON
2415 NW 133RD PL
PORTLAND, OR 97229-4559
Phone number: 509-945-3894
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